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Organization
BAPTIST HOMES INC
Active
Organization
BAPTIST HOMES INC
Active
Other names
SON Valley
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCCORMACK (EXECUTIVE DIRECTOR)
(601) 859-2100
Entity
Organization
Contact information
Practice address
461 GOODLOE RD, CANTON, MS 39046-9740
(601) 859-2100
Mailing address
PO BOX 406, CANTON, MS 39046-0406
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1009
MS
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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